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FEC Disclosure Form 1M for MADISON PAC; THEForm 1M for MADISON PAC; THE

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-490721


1. MADISON PAC; THE

235 STATE STREET #206
SPRINGFIELD, MA 01103

2. FEC Committee ID #: C00426809

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:


NameOffice SoughtState/DistrictDate
(i) BARON PAUL HILL
House of Representatives
Indiana/09
07/09/2008
(ii) BRAD ELLSWORTH
House of Representatives
Indiana/08
07/09/2008
(iii) JOSEPH HEATH SHULER
House of Representatives
North Carolina/11
07/09/2008
(iv) BRIAN SCOTT GILLILAND
House of Representatives
Illinois/17
07/09/2008
(v) JOSEPH SIMON MR. DONNELLY
House of Representatives
Indiana/02
07/09/2008

(b) Contributors: The committee received a contribution from its 51st contributor on: 09/30/2008

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 07/26/2006

(d) Qualification: The committee met the above requirements on: 07/30/2010

Treasurer: Mr. Brian J. Ahern
Date Signed: 08/30/2010

(End FEC FORM 1M)


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